Health24.com | ‘Is it totally normal if my vagina is always wet or should I be worried?’

1. It can be absolutely normal…

Yup, the vagina is not supposed to be dry. It depends on the degree of your wetness. Assess it by checking that it’s not one of the three other culprits listed below.

2. Bacterial vaginosis

It can be due to bacterial vaginosis, a mild vaginal infection, not an STD, that’s caused when the balance of good and bad bacteria in your vagina is upset.

Your risk is higher if you have more than one sex partner, a new sex partner or if you douche. The most common symptom is a smelly discharge, which may look greyish white or yellow in colour.

The slightly “fishy” smell may be worse after sex. (Note: About half of women with bacterial vaginosis don’t notice any symptoms!)

If you’re worried, pay a visit to your pharmacy or doctor – it can easily be treated with an antibiotic.

Read more: 2 gynae-approved ways to tell if your vagina is too weak or too tight

3. Pelvic congestion syndrome

It can also be due to pelvic congestion syndrome. This is a condition where the blood flow in the area is too high, resulting in wetness.

It’s also often associated with a sensation of fullness in the pelvis and manifests in varicose veins developing around the ovaries, similar to those that occur in the legs.

It’s pretty common and is often misdiagnosed due to physicians being unfamiliar with it or failing to actually look for it. So, if you experience pelvic pain during or following sex, during your period or while doing activities such as cycling or horseback riding, in addition to your wetness, pay a visit to your gynae.

Read more: 7 common reasons why you have an itchy vagina

4. Desquamative vaginitis

Desquamative vaginitis occurs when the cell turnover in the vagina is too high and the lining of the vagina becomes inflamed.

It’s not an STD and, while the cause is unknown, it’s thought to be either an infection or an autoimmune, inflammatory problem, which can be triggered by low oestrogen levels.

Telling signs include: a heavy yellow or greenish-yellow vaginal discharge, usually with little or no odour, painful intercourse and vulvar irritation and itching.

On examination, the opening to the vagina and the vagina itself may look red and inflamed. Luckily, it can be treated with a steroid cream, so get to your gynae as soon as possible!

This article was originally featured on www.womenshealth.co.za

Image credit: iStock

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Health24.com | 7 Christmas foods you should go easy on

Looking forward to all those festive treats? Hold your horses – come January, you may be regretting all those extra kilograms.

Although we don’t want to interfere with what you eat over Christmas, we did look at a number of unhealthy options you might do better to scale down on.

1. Turkey stuffing

Why? Turkey might not be the traditional South African Christmas meal, but it’s still a popular choice for some families – and can pack on the kilojoules very quickly. Turkey is often stuffed with a savoury filling made from sausage meat, usually pork sausage. Sausage is heavily processed and contains high amounts of saturated fat that increases your risk for heart disease.

What to choose instead: A healthier stuffing made from mushrooms, breadcrumbs and herbs.

2. Creamy salads and sides

Why? Since South Africans don’t celebrate a snowy Christmas, we tend to eat a lot of salads – but contrary to popular belief, salads are not always the healthiest option. Think of those creamy potato and pasta salads laden with mayonnaise – this can easily add unwanted kilojoules to your meal.

What to choose instead: Be mindful of your sides – enjoy the starchy options in moderation and load the rest of your plate with green vegetables and a green salad. You can also lighten up your potato salad by replacing the mayonnaise with plain low-fat yogurt.

potato salad

3. Glazed ham

Why? Ham is not your best source of protein since it is high in saturated fats, which contributes to higher cholesterol levels. Store-bought glazed ham often contains nitrates to preserve the meat, which can be harmful if consumed in large quantities.

What to choose instead: Glaze your own ham from scratch to limit the amount of preservatives and sugar in store-bought ham. Choose leaner, low-fat protein sources such as chicken.

glazed ham

4. Sausage rolls and processed meats

Why? Ah, those snack platters are death traps for many a person with good intentions. Whether you are at a year-end function or a family Christmas dinner, chances are you might be tempted by the pastries, cocktail sausages and deli meat slices. But once again, these foods are heavily processed and laden with kilojoules and sodium.

What to choose instead: Make a healthier, lighter snack platter with leaner deli meat cuts such as smoked chicken and turkey and vegetable crudités with hummus and low-fat yogurt dips.

cocktail sausage rolls

5. Potato chips

Why? When it comes to unhealthy foods with a high salt content, potato chips are the one of the biggest culprits. Not only is this snack full of empty nutrients, but will also leave you feeling bloated and sluggish before you even touch your main course.

What to choose instead: Munch on air-popped popcorn or vegetable crudités dipped in hummus to tide you over until Christmas lunch is served.

potato chips

6. Fruit cake

Why? Okay, you’re probably fuming at this point – telling you to avoid fruit cake over Christmas. How dare we? Sorry to be the bearer of bad news – although this Christmas treat contains fruit, it’s dense with butter, sugar and liquor and packs 1 715 kilojoules in a single slice.

What to choose instead: There are two types of people – those who despise fruit cake and those who love it. Fruit cake is a unique Christmas treat, but enjoy it in moderation. Scale down on the other dessert options and savour your slice of cake, but resist the temptation to pile on the custard, ice-cream or cream.

fruit cake

7. Chocolates and sweets

Why? For many of us, a big box or bag of chocolates, wrapped in colourful shiny wrappers truly marks the beginning of the festive season. But go easy on these – you can easily lose control of your intake and end up eating more than you should. These can add on the kilojoules, especially if you have just indulged in a big meal. Also take note of the amounts of sugar and corn syrup contained in these treats.

What to choose instead: Instead of mindlessly snacking on chocolates, choose a lighter sweet option such as fresh fruit and a dollop of cream or yogurt, or some sorbet. Limit your chocolates to one or two – pick your favourite flavour and savour it, bite by bite. You can also opt for dark chocolate, which contains a lot of of antioxidants.

chocolate wrappers

More tips for a healthier Christmas:

  • Watch your alcohol intake as your glass of champagne or favourite tipple can also add unnecessary kilojoules. The alcohol can loosen your inhibitions, causing you to snack even more.
  • Pick those foods you truly love and enjoy, and give the rest a miss.
  • Don’t obsess over weight and kilojoules. Eat mindfully and savour the tastes.
  • Don’t starve yourself on Boxing Day. Skipping meals will not help.
  • Get some exercise. You don’t have to hit the gym, but have fun with your family. Go for a walk on the beach or park, or play a game of frisbee.

Image credits: iStock

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A Stronger You at Every Age

stay-strong-tank

Josesph Montezinos

Unlike a sore throat or stomachache, which demand your attention, bones and muscles dont complain much unless something major—like a break or a pull—goes wrong. But these quiet, graceful supporters need regular TLC to help your body handle the load of daily life. Heres how to keep your bones and muscles strong and capable now and in the decades to come.

Your 20s and 30s: Bone Up.
Your bones have reached 90% of their peak mass by the time you reach your 20s; after age 30 or so, the best you can do is maintain the amount youve built up. So consider this your last chance for growth! Make sure your daily diet includes 1,000 milligrams of calcium and 600 IU of vitamin D, which aids calcium absorption. If you cant get the full dose from food, bridge the gap with a supplement, but realize that with calcium, more is not better. “New data shows that excessive calcium in supplement form increases the risk of kidney stones and possibly vascular diseases,” says Felicia Cosman, MD, clinical director of the National Osteoporosis Foundation. So consume no more than 2,500 milligrams a day, she says.

Build those biceps.
Your ability to build muscle also peaks in your 20s. And if you dont do any strength training, your muscle mass will start to decline—over the next 20 years, you could lose as much as half a pound of muscle per year. If youre pressed for time, you only really need to target eight major muscle groups: biceps, triceps, quads, hamstrings, calves, glutes, core (including lower back), and shoulders. You dont even have to hit them separately—just do a basic sequence of squats, lunges, push-ups, biceps curls, and triceps dips (two sets of 15 reps, three times a week).

Kick butts.
Besides the myriad other reasons why you shouldnt smoke—hello, cancer!—add bone health to the list. “Smoking reduces the efficiency of the bone-building cells,” Dr. Cosman says. “Plus, it lowers your bodys production of estrogen, which could cause you to go through menopause at a younger age and put you at risk for osteoporosis.”
 

 

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Your 40s:Pack in protein.
If youve been forgoing iron (the dumbbell kind), muscle continues to disappear in this decade—at twice the rate it did in the previous two. “Your muscles start to become infiltrated with fat—you turn from flank steak to rump roast,” says Vonda Wright, MD, an orthopedic surgeon at the University of Pittsburgh Medical Center.

The good news: Strength can be significantly improved in as little as three months. To maximize the benefits of weight-lifting, up your protein intake: “You cant build muscle without it,” says Dr. Wright, author of Fitness After 40: How to Stay Strong at Any Age. Aim to eat 0.36 grams per pound of body weight daily; a 150-pound woman would need about 54 grams. Good sources include lean meats (30 grams of protein in a 3 1/2-ounce chicken breast), low-fat dairy products (15 grams in 1/2 cup of cottage cheese), and beans (7–10 grams in 1/2 cup of cooked beans).

Jump to it. Building hip and back strength now will help you fend off osteoporosis, the loss of bone mass or density most prevalent in women over 50. Several times a week for a few minutes at a time, in addition to your regular workouts, jump rope, perform jumping jacks, do small side-to-side jumps in the driveway. Or simply do any kind of exercise in which youre on your feet, moving your bodys own weight—like racket sports, dance classes, or power-walking—for at least 30 minutes, three or four times weekly.
 

 

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stretch-to-floor

Milena Boniek/Getty Images

Your 50s:Take it up a notch.
Women can lose up to 20% of their bone density in the five to seven years after menopause. Counteract the drain by upping your calcium to 1,200 milligrams (and continue getting 600 IU of vitamin D) daily. If youre drinking fortified juices or other beverages, be sure to shake them well before pouring, as the calcium often sinks to the bottom.

Because some recent studies suggest that calcium supplements in postmenopausal women could lead to a higher risk of heart attacks, Dr. Cosman recommends getting as much calcium from food as possible, and supplementing minimally. And stick with those weights: Numerous studies show that consistent strength training not only makes muscles stronger but also increases bone density 1 to 3% in the spine and hip—the two areas most prone to fractures in women.

Plan ahead.
All women should have had a DEXA (bone-density) scan by age 65—unless youre at risk for osteoporosis, in which case you may need one earlier. Risk factors include family history; ethnicity (Caucasian and Asian women are most at risk); low body weight (a body-mass index of 19 or under); and early menopause (before age 45), either naturally or due to a hysterectomy or removal of ovaries. Talk to your doctor about your personal risk factors now so you can minimize their impact—and maximize your strength in the future.

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Once incurable diseases are now in the sights of doctors.

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Health24.com | How to solve ITB pain

Emily asks: I’m having some pain on the outside of my knee. It seems to kick in at about kilometre six and gets worse if I continue running. I’ve taken a few days off and it seems to be no better. Any idea what this might be and what to do?

Based on your description, it sounds like you may be experiencing iliotibial band syndrome, or ITBS. When pain is an issue for several days and does not get better with RICE – rest, ice, compression and elevation – it’s time to see the doctor.

ITBS is an inflammation of this large band of connective tissue that runs the length of the thigh. It begins on the outside of the hip and continues down to the shin. The main function is to stabilise the knee, assist with inward rotation and help with hip abduction.

It’s a very common injury that may be more prevalent in female runners than males. It is thought that women may be more susceptible to this injury because they tend to have a wider pelvis than men, and a wider pelvis means a greater degree of rotation when running – meaning more stress is placed on the IT band.

Your doctor may order an MRI to confirm a diagnosis and may also prescribe an anti-inflammatory and/or physiotherapy.

Physiotherapy can assist with treating the symptoms, as well as addressing the source of the problem.

Often, weak gluteal muscles and over-tight hip flexor muscles from sitting all day at work contribute to this injury.

Physical therapy addresses any muscle imbalances and prescribes the appropriate exercises for improving both flexibility and strength.

Your doctor or physio may also evaluate you for orthotics, a custom-made shoe insert, that helps correct biomechanical deficiencies.

Here are some tips for when you can return to running:

1. Do a good warmup before running. Walk first, then gradually move into an easy jog.
2. Obtain a professional shoe fitting. A motion-control or stability shoe may help.
3. Check your shoes for wear and tear and replace them often.
4. Run on level surfaces and avoid cambered roads. The slant of the road can contribute to this IT band injury.
5. Avoid running on concrete or other exceptionally hard surfaces.
6. If running on a track, change direction and run in the outer lanes for a wider turn.
7. When increasing mileage, stick to increasing weekly mileage by no more than 10% a week.
8. Cross-train with activities like swimming, if possible.
9. Try using a knee strap to immobilise the IT band at the knee.
10. Continue doing prescribed strengthening and stretching exercises.

One of the most effective strengthening exercises for ITBS prevention is the “clam shell”. Here’s how to do it.

Lie on the floor on your side, legs stacked. Bend both knees, keeping legs and feet aligned. Open the knees like a clam shell while keeping your feet together. Do two sets of 30 on each side.

Take it to the next level by put a resistance band around your thighs.

This article was originally published on www.runnersworld.co.za

Image credit: iStock

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